Effects of Occupational Therapy Task-Oriented Approach in Upper Extremity Post-Stroke Rehabilitation

2011 2011

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Abstract (summary)

There is a need for effective Upper Extremity (UE) post-stroke rehabilitation approaches. The Occupational Therapy Task-Oriented (TO) approach was described early in the nineties of the past century. Many of the TO principles were supported in the literature. However, the TO as a whole was only evaluated in case studies. This study aimed to evaluate the functional and the impairment effects of this approach and to refine its treatment protocol. Twenty participants with stroke of three months or more fulfilled the minimal affected UE active movements of at least 10° of shoulder flexion and abduction and elbow flexion-extension and volunteered for this study. Participants were randomized into two order groups. The immediate group got 3 hours of TO treatment per week for six weeks and then got six weeks of no treatment control while the delayed intervention group underwent the reversed order. Participants were evaluated before the first phase, at the cross over, and after the second phase by trained, blinded evaluators. The treatment change scores from both groups were compared with those of the control. The results supported the TO functional superiority as indicated by significant and clinically meaningful changes in the Canadian Occupational Performance Measure (COPM), the Motor Activity Log (MAL), and the time scale of the Wolf Motor Function Test (WMFT). The result failed to support hypothesis of the impairment effects superiority of the TO. We conclude that the TO approach is an effective UE post-stroke rehabilitation approach in improving the UE functional abilities. More studies are needed to provide more evidence for this approach and to illuminate more of its therapeutic abilities with different stroke severity and chronicity levels.

Indexing (details)

Physical therapy;
Occupational Therapy;
Health sciences
0382: Physical therapy
0498: Occupational Therapy
0566: Health sciences
Identifier / keyword
Health and environmental sciences; Function; Occupational therapy; Post-stroke rehabilitation; Stroke; Task-oriented approach; Upper extremity
Effects of Occupational Therapy Task-Oriented Approach in Upper Extremity Post-Stroke Rehabilitation
Almhdawi, Khader
Number of pages
Publication year
Degree date
School code
DAI-B 73/01, Dissertation Abstracts International
Place of publication
Ann Arbor
Country of publication
United States
Mathiowetz, Virgil G.
Committee member
Konczak, Juergen; Kukulka, Carl G.; Stern, Erica B.; delMas, Robert C.
University of Minnesota
Rehabilitation Science
University location
United States -- Minnesota
Source type
Dissertations & Theses
Document type
Dissertation/thesis number
ProQuest document ID
Database copyright ProQuest LLC; ProQuest does not claim copyright in the individual underlying works.
Document URL
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